Organization Active NPI

Whittier Medical Homecare Supply

  • Durable Medical Equipment & Medical Supplies
  • Whittier, CA
National Provider Identifier
1861592602
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WHITTIER MEDICAL HOMECARE SUPPLY
Practice address
12633 Whittier Blvd
Whittier, CA 90602-2927
Phone
(562) 945-5556
Fax
(562) 945-8577
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tammy Ann Frost
Title
Ceo/Cfo
Phone
(714) 630-1716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

12633 Whittier Blvd
Whittier, CA 90602-2927

Mailing address

12633 Whittier Blvd
Whittier, CA 90602-2927
Phone (562) 945-5556

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ82429ZMedicaidCA

National Provider Directory

National Provider Directory

Locations

12633 Whittier Blvd
Whittier, CA 90602
Phone (562) 273-2949

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1861592602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12633 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022927",
            "telephone_number": "562-945-5556",
            "fax_number": "562-945-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12633 WHITTIER BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022927",
            "telephone_number": "562-945-5556",
            "fax_number": "562-945-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITTIER MEDICAL HOMECARE SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "714-630-1716",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ82429Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.